Healthcare Provider Details

I. General information

NPI: 1437497724
Provider Name (Legal Business Name): NATHAN DENNIS FRIDAY PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2013
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E VALLEY RD
EL JEBEL CO
81623-7736
US

IV. Provider business mailing address

250 E VALLEY RD
EL JEBEL CO
81623-7736
US

V. Phone/Fax

Practice location:
  • Phone: 970-963-3730
  • Fax: 970-963-8565
Mailing address:
  • Phone: 970-963-3730
  • Fax: 970-963-8565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17306
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: